Provider Demographics
NPI:1568882850
Name:CARLSEN, ASHLEE NICOLE (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:NICOLE
Last Name:CARLSEN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 W KENNEWICK AVE
Mailing Address - Street 2:PMB 245
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336
Mailing Address - Country:US
Mailing Address - Phone:509-750-5825
Mailing Address - Fax:509-321-4248
Practice Address - Street 1:3311 W CLEARWATER AVE STE D230
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2710
Practice Address - Country:US
Practice Address - Phone:509-870-0503
Practice Address - Fax:509-321-4248
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-24
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW610471901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical